Foundational Concepts of Nursing Practice- Mobility
questions with verified answers
A nurse in a long term facility is caring for an older adult client and
notes their muscles have become smaller and weaker. Which of the
following should the nurse suspect the client is experiencing?
Sarcopenia
Disuse osteoporosis
Atrophy
Joint contracture Ans✓✓✓ Atrophy
RATIONALE: The nurse should suspect the client is experiencing atrophy
of their muscles. Atrophy occurs when the muscles of the body become
smaller and weaker. This can occur with prolonged immobility or disuse
of a limb.
A nurse is assessing a client's mobility and notes one of the client's feet
drags behind them when ambulating. Which of the following conditions
should the nurse suspect the client is experiencing?
Atrophy
Foot drop
Joint contracture
Disuse osteoporosis Ans✓✓✓ Foot drop
, RATIONALE: The nurse should suspect the client is experiencing foot
drop. Foot drop occurs when the joint of the foot becomes contracted
and results in the inability to perform dorsiflexion, or pulling the toes
upward. This is due to nerve damage that causes shortening of the
muscle. The foot is left with the toes pointing downward and in a
dropped position.
A nurse is caring for a client who had a stroke and reports having
difficulty with proprioception. The nurse should plan to assess the client
for which of the following?
Restricted movement due to abnormal fixation of a joint
A drop in blood pressure that occurs with a change in position
Altered gait with dragging of the toes while ambulating
Diminished awareness of body position and balance Ans✓✓✓
Diminished awareness of body position and balance
RATIONALE: Proprioception, or kinesthesia, is a sense of self-awareness
and body position. It is the result of feedback from nerve sensory
receptors that alert the brain to fine-tune muscle movement in order to
regulate balance, coordination, and movement.
A nurse is caring for a client who had stroke and is immobile. The nurse
should identify that the client is at risk for which of the following
conditions?
questions with verified answers
A nurse in a long term facility is caring for an older adult client and
notes their muscles have become smaller and weaker. Which of the
following should the nurse suspect the client is experiencing?
Sarcopenia
Disuse osteoporosis
Atrophy
Joint contracture Ans✓✓✓ Atrophy
RATIONALE: The nurse should suspect the client is experiencing atrophy
of their muscles. Atrophy occurs when the muscles of the body become
smaller and weaker. This can occur with prolonged immobility or disuse
of a limb.
A nurse is assessing a client's mobility and notes one of the client's feet
drags behind them when ambulating. Which of the following conditions
should the nurse suspect the client is experiencing?
Atrophy
Foot drop
Joint contracture
Disuse osteoporosis Ans✓✓✓ Foot drop
, RATIONALE: The nurse should suspect the client is experiencing foot
drop. Foot drop occurs when the joint of the foot becomes contracted
and results in the inability to perform dorsiflexion, or pulling the toes
upward. This is due to nerve damage that causes shortening of the
muscle. The foot is left with the toes pointing downward and in a
dropped position.
A nurse is caring for a client who had a stroke and reports having
difficulty with proprioception. The nurse should plan to assess the client
for which of the following?
Restricted movement due to abnormal fixation of a joint
A drop in blood pressure that occurs with a change in position
Altered gait with dragging of the toes while ambulating
Diminished awareness of body position and balance Ans✓✓✓
Diminished awareness of body position and balance
RATIONALE: Proprioception, or kinesthesia, is a sense of self-awareness
and body position. It is the result of feedback from nerve sensory
receptors that alert the brain to fine-tune muscle movement in order to
regulate balance, coordination, and movement.
A nurse is caring for a client who had stroke and is immobile. The nurse
should identify that the client is at risk for which of the following
conditions?
